Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.00 / $3,224.00 / $11,453.00	Facility		$846.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.32 / $1,028.68 / $1,748.11	Professional		$901.32	$1,028.68	$1,748.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $937.25 / $1,186.33 / $1,616.59	Professional		$937.25	$1,186.33	$1,616.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $916.39 / $933.35	Facility		$80.00	$916.39	$933.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.92 / $1,150.92 / $1,150.92	Facility		$1,150.92	$1,150.92	$1,150.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.70 / $1,363.00 / $2,070.44	Professional		$1,002.70	$1,363.00	$2,070.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,802.92 / $11,500.00 / $26,542.00	Facility		$3,802.92	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,477.25 / $7,486.96 / $8,750.03	Professional		$7,477.25	$7,486.96	$8,750.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $993.61 / $1,334.76 / $2,060.69	Facility		$993.61	$1,334.76	$2,060.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,251.00 / $1,501.20 / $1,861.49	Professional		$1,251.00	$1,501.20	$1,861.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,177.23 / $1,489.40 / $1,754.78	Professional		$1,177.23	$1,489.40	$1,754.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $993.61 / $1,350.00 / $2,113.60	Facility		$993.61	$1,350.00	$2,113.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,031.61 / $1,411.43 / $2,109.29	Professional		$1,031.61	$1,411.43	$2,109.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $789.01 / $1,100.80 / $1,751.18	Professional		$789.01	$1,100.80	$1,751.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $854.15 / $969.81 / $1,346.60	Professional		$854.15	$969.81	$1,346.60